NPI | 1942561758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 260820) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251532) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2018-03-22 |